Crown provides expert analysis and testimony on healthcare pricing, billing and claims. We pair PhD-level statistics with healthcare economics and the published payer rate data that shows what the market actually pays.
Discuss a matter See how we helpBilling disputes and fraud cases often hinge on two questions: what a fair price was, and how widespread a pattern is. Answering both takes claims data, coding knowledge and sound statistics.
Published payer rates now show what the market actually pays for a service.
Valid sampling and extrapolation that stand up to scrutiny.
Claim-level review grounded in CPT, HCPCS and ICD-10 rules.
Retain us as a consulting expert, a testifying expert, or both.
A first look at the claims data and billing patterns before you commit to a theory.
Sample design, extrapolation and error rates, including challenges to RAC, UPIC and OMIG overpayment findings.
Market-rate benchmarks from published payer data to size overbilling or underpayment.
Expert reports, depositions and trial testimony in plain English.
A critique of the opposing expert's methods, sampling and assumptions.
We confirm we can take the matter before anything else.
We learn the claims, the data available and the questions at issue.
Statistics, coding review and market-rate benchmarks.
Clear findings, written and spoken for a judge or jury.
Strong methods only help if the people deciding the case can understand them.
Sampling and methods built to withstand cross-examination.
Damages anchored in published payer rates, not assumptions.
Complex pricing explained simply, on paper and on the stand.
Plaintiff and defense counsel in healthcare billing and fraud matters.
Available as a consulting or testifying expert. Rates are shared after a conflict check.
Discuss a matterCrown brings together healthcare economists, insurance specialists and benefits consultants, and PhD statisticians and data scientists, working alongside experienced medical coders. The people who build the data pipeline also review the results, so every finding is checked by someone who understands both the numbers and the claim.
Experts in how payers price care and where the money leaks.
Plan design, payer contracts, benefits strategy and actuarial context.
PhD-level methods and pipelines that turn billions of published rates into answers.
Experienced coders reviewing CPT, HCPCS and ICD-10 against coding rules.
Tell us about the matter at a high level. Please don't include confidential case details in this form; we'll run a conflict check first.
Or email: info@crownadvisory.com